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HomeMy WebLinkAboutH2019-0111 - PermitsCity of,Newport Beach - Building Division III 1111111111111111111111111111111111111111111111 c1 100 Civic Center Drive, Newport Beach, CA 92660 - H 2 0 1 9 0 1 1 1 y_ Permit Coun}-r Phone (949)644-3288 MECHANICAL Permit: H2019-01 11, Project No Inspection Requests Phone (949)644-3255 Job Address: 23 STONE PINE BIdg:1 Floor: Suite:' Description of Work: MECH/CHANGE (2) A/C UNITS 63*dB & 60.3dB* (RHEEM; RA1448A) *TIMER REQUIRED ON EQUIPMENT TO SHUT OFF @ 1OPM TO 7AM = ' NOISE AGREEMENT W/PERMITY ,p Inspector Area:6 Code Edit : 2016 Legal Description: Owner: 23 STONE PINE NEWPORT LLC Contractor: SOLSTICE HEATING & A/C Worker's Comp Insurance - Address: 10795 WILSHIRE BLVD #504 Address: 310 W AVENIDA GAVIOTA Carrier: SECURITY NATIONAL INS CO LOS ANGELES CA 90024 0 SAN CLEMENTE, CA 92672 Policy No: SWC1188754�b 0 $0.00 Phone: Phone: _ 949-573-3607 Expire :03/19/2019 $0.00 Con State Lic: 938886 $0.00 > 3 HP to 15 HP: Issued Date:02/27/2019 Lic Expire: 10/31/2019" Gas Line: 0 $0.00 .y�� �' Bus Lic: BT30041721 0 $0.00 Processed By: ' �rt"r Lic Exp Date: 0 212 8/2 01 9 0 $0.00 Metal Fireplace: PFRAJ(14 EXPIFM 1$0 DA YSAF.TF,&ISSUANCE OR LAST VALID INSPECTION Construction H(ruJs:'k1ondaV, Friday 7.00�a.m.ta 6:30 p.m.and Saturday from 8:00 a.m. to 6:00 p.m. O E p O ••. 0 p6 O p O O 046. O. OEO O O O GG4 D• C O C G L 00• 000 00 O p. 000 40 HVAC Items FEES FurnacesBoilers & Compressors Ventilation Other Up to IOOK BTU/hr: 0 $0.00 Up to 3HP: 0 $0.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 $0.00 Over 100K BTU/hr: 0 $0.00 > 3 HP to 15 HP: 2 $70.00 Exhaust Fan: 0 $0.00 Gas Line: 0 $0.00 $0.00 Wall/Floor Heaters: 0 $0.00 >15 HP to 30 HP: 0 $0.00 Attic Fan: 0 $0.00 Metal Fireplace: 0 $0.00 Heat Pumps & Package Units >30 HP to 50 HP 0 $0.00 Down -Draft Fan: 0 $0.00 Record Mgt Fee: $0.00 Up to 100K BTU/hr 0 $0.00 >50 HP: 0 $0.00 Residential Hood: 0 $0.00 Additional Fee: $0.00 Investigation: $0.00 Over 500K BTU/hr: 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 Plan Check: $60.90 Up to 1 M BTU/hr: 0 $0.00 up to 1 OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: Issuance: $35.00 Up to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $40.00 TOTAL: $205.90 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $205.90 PFRAJ(14 EXPIFM 1$0 DA YSAF.TF,&ISSUANCE OR LAST VALID INSPECTION Construction H(ruJs:'k1ondaV, Friday 7.00�a.m.ta 6:30 p.m.and Saturday from 8:00 a.m. to 6:00 p.m. O E p O ••. 0 p6 O p O O 046. O. OEO O O O GG4 D• C O C G L 00• 000 00 O p. 000 40 )WNER-BUILDER DECLARATION t I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable items) Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its iswuance;�also requires the applicant for ie permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and 'rofessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of of more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or n roved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not pply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 7 I am exempt from licensure under the Contractors' State License Law for the following reason: ;ymy signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot Iegall,. ell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and 'rofessions Code, is available upon request when this application is submitted or at the following Web site:hftp://www.leginfo.ca.gov/calaw.html. signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 ) of Division 3 of the Business4WDRED f ions e, and my license is in full force nd effect. !cense Class License No Date Z Contractor Signatur /ORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONTHOUSAND DOLLARS ($100,000), IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 7 I have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th e ormance of the work for which this permit is issued. Policy No. ve and will��1aintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatioi isuram carrier R=olicv number,aw. of Agent Expiration Date Phone # certify that, in the perform ce f t e work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre , if I should become sub'e o e ers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those pro �iyslQ,ns. lature of Applicant Date/�:II C, :LARATION REG DIN ONS ION LENDING AGENCY reby affirm under penalt o perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). der's Name Lender's Address ny signature below, I certify to each of the following: I am the property owner or authorized to act on the property owner's behalf. I have read this application and the information I have pr vid d is correct. I agree to comply with all applicable city and county obi n s d state laws relating to building construction. 1 authorize representatives of this city or county ter a e-' entified property for inspection purposes. � �q�) lature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name! �.I o L '�" dL'D 2� 0 ACT70N DATE BY DECLARATION OF COMPLIANCEWITN CODEOF FOR OFFICE USE ONLY FEDERAL REGULATMS-PART 67 OF THEE 40AN& • • • AQMORULE1403. % • • • PERMITEXPIR€D ❑ I SUBMITTEDlC4EUSTV$104MCAt[Osl lb.; ❑ EPA ❑ AQMD PERMIT CANCELLED P€RMITEXTEND€D ❑ ASBESTOS M07IRCA770MIS NOT APPLICABLE TO PROPOSED OEMOLIVT. • • • • • • • • • e PERMIT FINAt C€R71F1CATEOF SIGNATURE. • • •• o OCCUPANCYISSUEO